Percepciones de matronas de Atención Primaria sobre el uso de la telemedicina durante la pandemia COVID-19 en España

IF 0.7 Q4 NURSING Enfermeria Clinica Pub Date : 2023-11-01 DOI:10.1016/j.enfcli.2023.09.002

Mariana Loezar-Hernández , Erica Briones-Vozmediano , Montserrat Gea-Sánchez , Juana Robledo-Martin , Laura Otero-García

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Abstract

Objective

To explore the experiences of primary healthcare (PHC) midwives with the implementation of telemedicine in pregnancy and puerperium care during the COVID-19 pandemic.

Method

Exploratory qualitative study based on an inductive content analysis of 15 semi-structured interviews with intentionally selected PHC midwives in four Spanish Autonomous Regions, during 2021-2022.

Results

Five categories were identified: (1) changes in the modality of care in pregnancy and puerperium: prioritization of pregnant women, unprotected puerperium, an increase of home visits and decline of parental education groups; (2) implementation of telemedicine in a changing scenario: the positive and negative side of telemedicine; (3) reaction of women to telemedicine; (4) strategies implemented by midwives for a humanized care, and (5) learning for the future.

Conclusions

The use of telemedicine by primary healthcare midwives enabled the care of pregnant and postpartum women during the pandemic in Spain. The positive aspects of the implementation of this type of care raise possibilities for change towards a hybrid format of healthcare.

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初级保健助产士对西班牙COVID-19大流行期间远程医疗使用情况的看法

探讨初级卫生保健助产士在COVID-19大流行期间在怀孕和产后护理中实施远程医疗的经验。这是一项探索性定性研究，基于对2021-2022年对西班牙四个自治社区的初级保健助产士进行的15次半结构化访谈的归纳内容分析。结果确定了五个类别:1)怀孕和产褥期护理模式的变化:优先考虑孕妇、无保护的产褥期、家访增加和父母教育小组减少;2)在变化的情况下实施远程医疗:远程医疗的积极和消极方面;3)妇女对远程医疗的反应;4)助产士实施的人性化护理策略，5)未来学习。在西班牙，初级保健助产士使用远程医疗使在大流行期间照顾孕妇和产后妇女成为可能。实施这类保健的积极方面为向混合保健形式转变提供了可能性。探讨在COVID-19大流行期间初级保健(PHC)助产士在怀孕和产后护理中实施远程医疗的经验。这是一项探索性定性研究，基于对2021-2022年期间在四个西班牙自治地区对PHC助产士进行的15次半结构化访谈的归纳内容分析。确定了五类:(1)孕产妇和产褥期护理方式的变化:优先考虑孕妇、无保护的产褥期、家访次数增加和父母教育小组人数减少;(2)在变化的情况下实施远程医疗:远程医疗的积极和消极方面;(3)妇女对远程医疗的反应;(4)助产士实施的人性化护理战略;(5)为未来学习。在西班牙大流行期间，初级保健助产士使用远程医疗使对孕妇和产后妇女的护理成为可能。实施这类保健的积极方面增加了向混合保健形式转变的可能性。

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.